Journal of Clinical Medicine,
Journal Year:
2024,
Volume and Issue:
13(11), P. 3098 - 3098
Published: May 25, 2024
Alzheimer's
disease
(AD)
causes
a
significant
challenge
to
global
healthcare
systems,
with
limited
effective
treatments
available.
This
review
examines
the
landscape
of
novel
therapeutic
strategies
for
AD,
focusing
on
shortcomings
traditional
therapies
against
amyloid-beta
(Aβ)
and
exploring
emerging
alternatives.
Despite
decades
research
emphasizing
role
Aβ
accumulation
in
AD
pathogenesis,
clinical
trials
targeting
have
obtained
disappointing
results,
highlighting
complexity
pathophysiology
need
investigating
other
approaches.
In
this
manuscript,
we
first
discuss
challenges
associated
anti-Aβ
therapies,
including
efficacy
potential
adverse
effects,
underscoring
necessity
alternative
mechanisms
targets.
Thereafter,
promising
non-Aβ-based
strategies,
such
as
tau-targeted
neuroinflammation
modulation,
gene
stem
cell
therapy.
These
approaches
offer
new
avenues
treatment
by
addressing
additional
pathological
hallmarks
downstream
effects
beyond
deposition.
International Journal of Molecular Sciences,
Journal Year:
2024,
Volume and Issue:
25(3), P. 1596 - 1596
Published: Jan. 27, 2024
Both
the
brain-derived
neurotrophic
factor
(BDNF)
and
glucocorticoids
(GCs)
play
multiple
roles
in
various
aspects
of
neurons,
including
cell
survival
synaptic
function.
BDNF
its
receptor
TrkB
are
extensively
expressed
neurons
central
nervous
system
(CNS),
contribution
BDNF/TrkB
to
neuronal
function
is
evident;
thus,
downregulation
has
been
considered
be
involved
pathogenesis
Alzheimer’s
disease
(AD).
GCs,
stress-related
molecules,
glucocorticoid
receptors
(GRs)
also
associated
with
AD
addition
mental
disorders
such
as
depression.
Importantly,
a
growing
body
evidence
suggests
close
relationship
between
BDNF/TrkB-mediated
signaling
GCs/GR
CNS.
Here,
we
introduce
current
studies
on
interaction
stress
CNS
discuss
their
involvement
pathophysiology
AD.
Journal of Personalized Medicine,
Journal Year:
2024,
Volume and Issue:
14(2), P. 170 - 170
Published: Jan. 31, 2024
Postural
orthostatic
tachycardia
syndrome
(POTS)
is
a
common
accompaniment
of
variety
chronic,
inflammatory
diseases,
including
long
COVID,
as
are
small,
insoluble,
'fibrinaloid'
microclots.
We
here
develop
the
argument,
with
accompanying
evidence,
that
fibrinaloid
microclots,
through
their
ability
to
block
flow
blood
microcapillaries
and
thus
cause
tissue
hypoxia,
not
simply
correlated
but
in
fact,
by
preceding
it,
may
be
chief
intermediary
POTS,
which
body's
exaggerated
'physiological'
response
hypoxia.
Similar
reasoning
accounts
for
symptoms
bundled
under
term
'fatigue'.
Amyloids
known
membrane
disruptors,
when
targets
nerve
membranes,
this
can
explain
neurotoxicity
hence
autonomic
nervous
system
dysfunction
contributes
POTS.
Taken
together
view,
we
indicate
microclots
serve
link
POTS
fatigue
COVID
manner
at
once
both
mechanistic
explanatory.
This
has
clear
implications
treatment
such
diseases.
Aging and Disease,
Journal Year:
2024,
Volume and Issue:
15(5), P. 2136 - 2136
Published: Jan. 1, 2024
In
the
central
nervous
system,
oligodendrocytes
wrap
around
neuronal
axons
to
form
myelin,
an
insulating
layer
or
sheath
that
allows
for
efficient
conductance
of
action
potentials.
addition
structural
insulation,
myelin
provides
encased
with
nutrient,
metabolic
and
defensive
support.
Demyelination,
loss,
can
therefore
cause
axonal
dysfunction,
leading
neurological
impairment
disease.
Alzheimer's
disease
(AD),
progressive
white
matter
demyelination
is
acknowledged
as
one
earliest
pathologies
preceding
symptom
onset.
Unfortunately,
current
pharmacotherapy
slowing
promoting
remyelination
in
AD
nonexistent.
Exercise
recognized
its
wide-ranging
benefits
human
health,
including
improved
mental
health
prevention
lifestyle-related
diseases.
Mounting
evidence
suggests
contribution
physical
activity
delaying
progression
dementia
elderly
populations.
Recent
mechanistic
studies
have
shown
exercise
facilitates
myelination
brain
through
vitalization
intrinsic
pro-myelination
cues,
such
increased
neurotrophic
factors
electrical
activity.
this
review,
we
summarize
discuss
potential
on
counteracting
aging-associated
demyelination,
which
causes
cognitive
decline
AD.
We
highlight
need
further
basic
clinical
research
investigations
topic
establish
novel
approaches
healthy
aging.
Missense
mutations
in
the
amyloid
precursor
protein
(APP)
and
presenilin-1
(PSEN1)
cause
early-onset
familial
Alzheimer’s
disease
(FAD)
alter
proteolytic
production
of
secreted
38-to-43-residue
β-peptides
(Aβ)
by
PSEN1-containing
γ-secretase
complex,
ostensibly
supporting
hypothesis
pathogenesis.
However,
proteolysis
APP
substrate
is
processive,
involving
initial
endoproteolysis
to
produce
long
Aβ
peptides
48
or
49
residues
followed
carboxypeptidase
trimming
mostly
tripeptide
increments.
We
recently
reported
evidence
that
FAD
PSEN1
deficiencies
early
steps
processive
C99
this
results
from
stalled
enzyme-substrate
and/or
enzyme-intermediate
complexes.
These
complexes
triggered
synaptic
degeneration
a
Caenorhabditis
elegans
model
independently
production.
Here,
we
conducted
full
quantitative
analysis
all
events
on
with
six
additional
found
are
deficient
multiple
processing
steps.
only
one
these
(F386S)
was
certain
but
not
endoproteolysis.
Fluorescence
lifetime
imaging
microscopy
intact
cells
revealed
lead
enzyme-substrate/intermediate
The
F386S
mutation,
however,
does
so
Aβ-rich
regions
cells,
C99-rich
regions,
consistent
mutant
enzyme
intermediates.
findings
provide
further
stabilized
process
rather
than
products
as
pathogenic
trigger.
Nature Communications,
Journal Year:
2025,
Volume and Issue:
16(1)
Published: Feb. 24, 2025
Impaired
glucose
uptake
in
the
brain
is
an
early
presymptomatic
manifestation
of
Alzheimer's
disease
(AD),
with
symptom-free
periods
varying
duration
that
likely
reflect
individual
differences
metabolic
resilience.
We
propose
a
systemic
"bioenergetic
capacity",
ability
to
maintain
energy
homeostasis
under
pathological
conditions.
Using
fasting
serum
acylcarnitine
profiles
from
AD
Neuroimaging
Initiative
as
blood-based
readout
for
this
capacity,
we
identified
subgroups
distinct
clinical
and
biomarker
presentations
AD.
Our
data
suggests
improving
beta-oxidation
efficiency
can
decelerate
bioenergetic
aging
progression.
The
estimated
treatment
effects
targeting
capacity
were
comparable
those
recently
approved
anti-amyloid
therapies,
particularly
individuals
specific
mitochondrial
genotypes
linked
succinylcarnitine
metabolism.
Taken
together,
our
findings
provide
evidence
therapeutically
enhancing
health
may
reduce
risk
symptomatic
Furthermore,
monitoring
via
blood
measurements
be
achieved
using
existing
assays.
Bioenergetic
balance
stress,
monitored
profiles.
Improving
slow
Ageing Research Reviews,
Journal Year:
2023,
Volume and Issue:
93, P. 102161 - 102161
Published: Dec. 6, 2023
Recent
trials
with
monoclonal
antibodies
targeting
amyloid-β
(Aβ)
in
Alzheimer's
disease
(AD)
have
sparked
a
renewed
interest
disease-modifying
therapies.
Despite
their
promise,
these
leave
the
issue
open
and
posit
some
doubts
about
validity
of
Amyloid
Cascade
Hypothesis
(ACH).
While
scores
neurocognitive
tests
improved
upon
treatment,
real-world
clinical
benefits
were
minimal.
This
Viewpoint
discusses
additional,
often
overlooked
findings
from
trials.
We
also
emphasize
multifactorial
nature
AD
need
for
broader
research
perspective
beyond
simplistic
model
provided
by
ACH.
Expert Opinion on Biological Therapy,
Journal Year:
2024,
Volume and Issue:
24(3), P. 119 - 123
Published: Feb. 28, 2024
There
is
no
cure
for
Alzheimer's
disease,
which
the
sixth
leading
cause
of
death
in
USA.
Lecanemab
anti-Aβ
monoclonal
antibody
approved
treatment
early
disease
but
only
marginally
effective.
Other
antibodies
are
being
developed
including
solanezumab.
Alzheimer s & Dementia,
Journal Year:
2024,
Volume and Issue:
20(9), P. 6639 - 6646
Published: Aug. 6, 2024
Recent
approvals
of
amyloid
immunotherapy
drugs
for
early
Alzheimer's
disease
(AD)
have
been
highly
controversial.
In
this
piece,
we
consider
challenges
from
the
clinical,
population
health,
and
health
systems
perspectives
to
role
that
new
AD
might
be
expected
play,
now
in
future,
alleviating
morbidity
caused
by
population.
Clinically,
short-term
effects
are
small,
adverse
events
frequent,
treatment
regimens
burdensome,
and,
crucially,
long-term
unknown.
At
a
level,
there
is
always
likely
trade-off
between
breadth
access
magnitude
benefit
any
given
individual.
system
roll
out
even
only
narrowly-defined
patient
groups
will
involve
considerable
resources
identify
treat
eligible
patients,
with
profound
opportunity
costs.
Our
considered
view
on
current
evidence
each
perspective
imagining
foreseeable
future
which
significantly
alleviates
at
scale.
HIGHLIGHTS:
met
excitement
but
also
controversy.
Trial
concerning,
Results
trial
cohorts
may
not
generalize
broader,
more
complex
patients.
Significant
resource
requirements
eligibility
assessment
drug
administration.
Use
"presymptomatic"
populations
supported
evidence.